The findings come at the forefront of research showing that people who are pregnant or have recently given birth and become infected are particularly likely to become seriously ill with Covid-19. Covid has also been found to increase the risk of pregnancy complications, such as premature births. The story goes on under the ad The Centers for Disease Control and Prevention is urging people to get coronavirus vaccines before or during pregnancy, seeking to dispel fears – widespread in some communities, without a scientific basis – that these vaccines could be harmful. As of March, almost 70 percent of the people were Pregnant women were vaccinated before or during their pregnancies, according to federal data, although there are still differences between racial and ethnic groups. The new study goes beyond what was previously understood, suggesting that even pregnant women who are fully vaccinated tend to have less protection against the virus than many other patients with significant medical problems. “If you’re fully vaccinated, that’s great,” said study co-author David R. Little, a medical researcher at Epic, a Wisconsin-based company that maintains electronic patient records for nearly 1,000 hospitals and more than 20,000 clinics. across the country. “But if you are fully vaccinated and get pregnant, you are still at higher risk of getting Covid.” The story goes on under the ad Few said the findings support the CDC’s recommendations that additional precautions against the virus should be taken during pregnancy, such as wearing a mask and keeping a safe distance. He said the study also suggests that healthcare workers should be “on alert” for symptoms and encourage testing for early detection of the virus when it is easier to treat. The data also raise scientific questions that justify further research into how best to protect pregnant women and their babies from infection, according to public health leaders and pregnancy experts. “For me, the most important question raised by the new study is whether there is an increased rate of serious illness and death in pregnant patients after a period of time,” said Brenna L. Hughes, vice president of obstetrics and quality at the School of Medicine. of Duke University, Department of Obstetrics and Gynecology. The story goes on under the ad “I have not admitted a single vaccinated patient to the ICU. “Everyone was unvaccinated,” Hughes said. “Of course, we are worried as the amplifiers decrease.” There is no research on whether the protection provided by coronavirus vaccines lasts as long for pregnant women as it does for others. The study did not evaluate how sick patients became when they became infected with the coronavirus after vaccination. Georges C. Benjamin, executive director of the American Public Health Association, said Epic’s findings indicate the need to understand whether it is more beneficial to be vaccinated before or immediately after pregnancy, the most useful time between vaccines and the dose better. These questions apply, she said, to the well-being of pregnant patients and their babies. The story goes on under the ad “There is a lot of good science we need to have here,” Benjamin said. But for now, he added, “people should not panic. You do not get sick because of the vaccine. “He says you probably need a little more than the vaccine.” The analysis was based on Epic medical records from 13.8 million patients since January 2021, when the first people in the United States were fully vaccinated and had enough time to develop immunity, and in late January of this year. Little and his colleagues analyzed the risk of 12 comorbidities throughout that period. The study included delta and micron jumps, but did not differentiate the rate of explosive infections during these waves or other periods. The researchers measured the risk by analyzing the records of couples of fully vaccinated patients from the same region of the country. In each pair, one patient had the condition measured and the other did not. Patients did not match age and pregnant women could have matched the analysis with a man or a woman. The story goes on under the ad The analysis found that the 110,000 pregnant women included in the study were 90% more likely to have infected with coronavirus from the same number of people who were not pregnant. The next highest risk – 80 percent higher – was among organ transplant recipients. The increased risk between these two groups was higher than among patients with weakened immune systems, who had a 60 percent higher chance of coronavirus infection. The fact that pregnancy appears to pose a greater risk than a weakened immune system is striking, as public health officials have warned that immunosuppression can make coronavirus vaccines significantly less effective. Federal regulators have allowed people with immune problems to get a fourth vaccine essentially before the guidelines are moved this week to allow additional vaccine doses for Americans age 50 and older. Hughes predicted that federal health officials would eventually add pregnancy to the list of factors that contribute to extra boost shots. The story goes on under the ad The study found that several Conditions carry a slightly higher risk of vaccinated people developing infections than people without these conditions. They include disorders of the kidneys, liver and blood. Patients with lung disease had a slightly higher risk – 30 percent higher than patients without these diseases. Cardiovascular disease, on the other hand, does not appear to pose an additional risk, and cancer patients were slightly less likely to develop new cases than those without cancer. The findings do not explain the reason behind the risk levels. Denise Jamieson, who specializes in infectious diseases during pregnancy, described the high risk of infection among vaccinated pregnant women as an “interesting and interesting finding.” Jamieson, president of gynecology and obstetrics at the Emory University School of Medicine in Atlanta, said the finding may reflect that such people are more likely to be examined because they receive prenatal care, bringing them into unusually frequent contact with a health care provider. . . The story goes on under the ad And Hughes noted that coronavirus testing has become routine when pregnant patients are admitted to maternity and childbirth centers. As a result, he said, more positive tests are likely to be detected among these patients, even when they have no symptoms, compared to people whose medical conditions do not lead to routine examinations. Jamieson said the finding could also suggest that people of childbearing age tend to be in jobs such as teaching or nursing, which puts them at an unusually high risk of exposure to the virus. At the same time, she said, the seemingly high risk of a new case during pregnancy could be a result of the way the study matched her patients’ couples. Or, said Jamieson, the study could indeed reveal that pregnant women are more susceptible to coronavirus infection, even when vaccinated. “It’s definitely interesting,” Jamieson said. “This study raises this question but does not answer it.”
